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      <Form990PartVIISectionAGrp>
        <PersonNm>MARYANELL AGOSTO</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>49645</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8926</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN COYLE</PersonNm>
        <TitleTxt>CONTROLLER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>32100</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MEGAN GALANEK</PersonNm>
        <TitleTxt>CRNP</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>119019</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5103</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>IMRAN JAVED</PersonNm>
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        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>187476</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20551</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>799965</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>87159</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
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      <ContractorCompensationGrp>
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          <USAddress>
            <AddressLine1Txt>PO BOX 220</AddressLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DELVAL TECHNOLOGY SOLUTIONS</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TRUSTED MANAGEMENT SOLUTIONS</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <ZIPCd>50021</ZIPCd>
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        <ServicesDesc>FISCAL CONSULTANT</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>3990293</GovernmentGrantsAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENU</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>5348743</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5348743</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>177104</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>177104</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>5525847</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>411</TotalRevenueColumnAmt>
        <ExclusionAmt>411</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>DISCOUNTS EARNED</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4591</TotalRevenueColumnAmt>
        <ExclusionAmt>4591</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>87</TotalRevenueColumnAmt>
        <ExclusionAmt>87</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>4678</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>9639979</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5525847</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>5089</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>622366</TotalAmt>
        <ProgramServicesAmt>246515</ProgramServicesAmt>
        <ManagementAndGeneralAmt>375851</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>3732717</TotalAmt>
        <ProgramServicesAmt>2744984</ProgramServicesAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>39498</TotalAmt>
        <ProgramServicesAmt>28665</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10833</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>451844</TotalAmt>
        <ProgramServicesAmt>321932</ProgramServicesAmt>
        <ManagementAndGeneralAmt>129912</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>370465</TotalAmt>
        <ProgramServicesAmt>255473</ProgramServicesAmt>
        <ManagementAndGeneralAmt>114992</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>14418</TotalAmt>
        <ManagementAndGeneralAmt>14418</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>60107</TotalAmt>
        <ManagementAndGeneralAmt>60107</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2313850</TotalAmt>
        <ProgramServicesAmt>2060304</ProgramServicesAmt>
        <ManagementAndGeneralAmt>253546</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>127519</TotalAmt>
        <ProgramServicesAmt>91416</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36103</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>185117</TotalAmt>
        <ProgramServicesAmt>114695</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70422</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>39224</TotalAmt>
        <ProgramServicesAmt>9761</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29463</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>649685</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70176</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>11471</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5378</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>63189</TotalAmt>
        <ProgramServicesAmt>43575</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19614</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>24739</TotalAmt>
        <ProgramServicesAmt>22109</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2630</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>107584</TotalAmt>
        <ProgramServicesAmt>96145</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11439</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>57432</TotalAmt>
        <ProgramServicesAmt>51326</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6106</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>259745</TotalAmt>
        <ProgramServicesAmt>259745</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>62956</TotalAmt>
        <ManagementAndGeneralAmt>62956</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>41466</TotalAmt>
        <ProgramServicesAmt>28595</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12871</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MOVING &amp; STORAGE</Desc>
        <TotalAmt>38045</TotalAmt>
        <ManagementAndGeneralAmt>38045</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>59732</TotalAmt>
        <ProgramServicesAmt>51268</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8464</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>9408723</TotalAmt>
        <ProgramServicesAmt>7087664</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2321059</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>61973</BOYAmt>
        <EOYAmt>48634</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>196034</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>166810</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>464554</BOYAmt>
        <EOYAmt>1542457</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>46360</BOYAmt>
        <EOYAmt>28666</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>7038713</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
        <BOYAmt>4938900</BOYAmt>
        <EOYAmt>5795748</EOYAmt>
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      <IntangibleAssetsGrp>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>44673</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>10903200</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1128592</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>0</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>2749346</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>16604</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>3150592</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>7045134</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>3626810</BOYAmt>
        <EOYAmt>3858066</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>3626810</BOYAmt>
        <EOYAmt>3858066</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>10903200</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>231256</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <Desc>OPERATING LEASE LIABILITY</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>-62956</RevenueNotReportedAmt>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
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      <ExpensesNotRptFinclStmtAmt>62956</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A NOT-FOR-PROFIT ENTITY THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION UNDER 509(A)(1). THE ORGANIZATION HAD NO UNRELATED BUSINESS INCOME DURING THE YEARS ENDED JUNE 30, 2023 AND 2022. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE -62,956.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE 62,956.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>TIMOTHY DALY</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5394</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18033</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>240393</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MELISSA MIRANDA</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4913</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24239</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>223911</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>IMRAN JAVED</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>187476</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20551</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>208027</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DRAFT FORM 990 IS REVIEWED BY THE ORGANIZATION'S CONTROLLER AND CEO. FOLLOWING THIS REVIEW, THE FORM 990 IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS VIA E-MAIL OR A BOARD MEETING PRIOR TO THE RETURN BEING FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST DISCLOSURES ARE COMPLETED AT THE TIME OF HIRE OR WHEN A PERSON FIRST BECOMES A MEMBER OF THE BOARD. BOARD MEMBERS SUBSEQUENTLY SIGN AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE WHICH MENTIONS FAMILY AND BUSINESS RELATIONSHIPS AS BEING POTENTIAL SOURCES OF CONFLICT. EACH MEMBER HAS A DUTY TO ENSURE ANY RELEVANT CONFLICT OF INTEREST IS STATED TO THE BOARD AND TO ABSTAIN IN ANY VOTE RELATED TO THAT BUSINESS. HUMAN RESOURCES MONITOR ALL CONFLICT OF INTEREST QUESTIONNAIRES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE REVIEW OF THE COMPENSATION FOR THE CEO IS PERFORMED BY COMPARING THE CEO'S SALARY TO CEO'S OF OTHER COMMUNITY HEALTH CENTERS. THE OTHER TOP MANAGEMENT OFFICIAL SALARIES ARE COMPARED TO SIMILAR POSITIONS IN THE MARKET. ALL COMPENSATION IS DETERMINED TO ENSURE COMPENSATION IS WITHIN FAIR MARKET VALUE FOR THE INDUSTRY. BOARD LEVEL DISCUSSIONS ON EXECUTIVE COMPENSATION ARE RECORDED IN BOARD MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS ARE MADE AVAILABLE TO REVIEW UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CLEANING SERVICES: PROGRAM SERVICE EXPENSES 46,218. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,218. CONSULTANTS: PROGRAM SERVICE EXPENSES 190,610. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 190,610. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,109,310. MANAGEMENT AND GENERAL EXPENSES 218,300. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,327,610. INDEPENDENT CONTRACTOR: PROGRAM SERVICE EXPENSES 250,615. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 250,615. INFECTIOUS WASTE DISPOSAL: PROGRAM SERVICE EXPENSES 6,481. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,481. LABORATORY FEES: PROGRAM SERVICE EXPENSES 16,279. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,279. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 3,460. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,460. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 300,974. MANAGEMENT AND GENERAL EXPENSES 35,246. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 336,220. SHREDDING SERVICES: PROGRAM SERVICE EXPENSES 3,960. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,960. TRANSLATION SERVICES: PROGRAM SERVICE EXPENSES 132,397. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 132,397.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
